1. Clinical Supervision and the Impaired Supervisee December 8, 2015 Prepared by EDENS GROUP

2. Edens Group Training Center 1019 Jessamine Ave East Suite 200 St Paul, Minnesota 55106-2733 (651) 776-2100 phone (651) 776-1700 fax e-mail: edensgroup@edensgroup.com www.edensgroup.com

3. Objectives  Recognize the four domains of clinical supervision.  Understand the importance of addressing supervisee impairment.  Review the importance of developing self- sufficiency, self-efficacy and personal accountability in supervisees.

4. Professional Commitment  As Behavioral Health Professionals we are obligated to and expected by the larger community to deliver the highest degree of services to the clients we serve with the greatest degree of integrity.

5. Supervisor Commitment  Your goal as Supervisor is not to be the best, rather to bring out the best in others.

6. Four Domains of Clinical Supervision  Administrative  Performance  Clinical  Coaching

7. Supervisor Challenges –To supervise someone appropriately is very time consuming. –Working with an impaired supervisee demands even more time and energy. –A Supervisor needs to know when to refer an impaired supervisee to appropriate resources that can assist them with their level of impairment.

8. Examples of Impairment  Administrative – Insubordination  Performance – Incompetence  Clinical - Efficacy, Vicarious  Coaching Health (Mental/Physical)

9. Inadequately Managed Stress  Wear and tear caused by life –Non-specific physiological response to stimuli (pleasant or unpleasant) –Dangerous to health when unduly prolonged – Source: Hans Seyle

10. Job Burnout  A syndrome of emotional exhaustion, depersonalization and reduced personal accomplishment. source: Maslach source: Maslach  Loss of enthusiasm, excitement and sense of mission in one’s work. source: Cherniss

11. Job Burnout  Job burnout may occur and probably will occur at some time during the supervision.  Most times, some time away from counseling will alleviate the problem.  In some cases counselors may need some professional help.

12. Defining Compassion Fatigue  A state of tension and preoccupation with an individual or situation  Reliving the cumulative trauma of clients  Avoidance or numbing of reminders of a traumatic event

13. Compassion Fatigue Symptoms  Easily Startled  Emotional Exhaustion  Absence of Compassion  Cynicism  Increased Irritability  Feelings of Isolation  Unprovoked Outbursts of Anger

14. Ethical Dilemmas and Supervisee Impairment  Competency issues must be dealt with immediately.  Ethical compromises cannot be ignored.

15. Preventing supervisee melt-downs  Self Care -  Begin today to take steps toward self care  Limit case loads  Vary case loads  Don’t let the job be your life  Dance, walk, do physical activities

16. Supervision thoughts  People are motivated, not only by the possibility of wage earnings, but by intrinsic care and the knowledge that their immediate supervisors and administrators have their goodwill in mind.  Supervisees work harder and more effectively when they believe that they have a voice.

17. Supervision thoughts  All of this happens with the development and maintenance of positive relationships.  It is a supervisor/administrators responsibility to provide for positive growth and development.